Lecture 4 Questions
When preparing to educate a client regarding a newly prescribed risperidone (Risperdal) antipsychotic medication. Which action would be most appropriate for the nurse to do? - Encourage the use of sugar-free gum to help manage dry mouth - Advice the client to use antiemetic medication for nausea - Discuss the increased difficulty the medication has on conception for both genders - Suggest methods to minimize the potential for weight loss
Encourage the use of sugar-free gum to help manage dry mouth
A nurse is preparing to administer prescribed antipsychotic medication to a client with psychosis. The nurse identifies the prescribed medication as a typical antipsychotic drug. Which drug would the nurse most likely be administering? - Amitriptyline (Elavil) - Olanzapine (Zyprexa) - Aripiprazole (Abilify) - Fluphenazine (Prolixin)
Fluphenazine (Prolixin)
Catatonic behavior seen in clients with schizophrenia is unique in the existence of which feature? - Immobility like being in a trance - Presence of negative symptoms - Preoccupation with a delusion - Disorganized speech patterns
Immobility like being in a trance
A client diagnosed with schizophrenia is having delusions that he is being plotted against by the government. What type of delusion would the nurse documents this behavior? - Delusion of control - Persecutory delusion - Grandiose delusion - Nihilistic delusion
Persecutory delusion
The nurse observes a client with command auditory hallucinations and a history of aggressive outbursts, pacing and grimacing while in the dayroom. Which of the following should be the nurse's priority? - Ask the client why the client appears to be agitated - Support the client in returning to the client's room - Request that the other clients leave the dayroom - Turn off the dayroom's television
Support the client in returning to the client's room
Most psychiatric health care providers believed positive symptoms seen in schizophrenia are to be the result of which type of neurological dysfunction? - The increased amount of dopamine - Cerebral atrophy - An inadequate amount of dopamine - Organic functional changes in the brain
The increased amount of dopamine
A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for Olanzapine (Zyprexa). Which of the following client statements indicates an understanding of the discharge teaching? - "I will wear sunglasses when I go outside the house." - "I will be able to stop taking this medication as soon as I feel better." - "This medication is highly addictive and must be withdrawn slowly." - "If I feel excessive thirst, urination, and hunger, I will call my provider."
"If I feel excessive thirst, urination, and hunger, I will call my provider."
A nurse is caring for a client with schizophrenia whose symptoms are managed with medication. The client reports feeling so well that the medication is no longer needed. Which response indicates that the nurse understands the client's diagnosis? - "The medications are helping you. If you suddenly stop taking them, you could get sick again." - "You have to take the pills the physician has ordered for you." - "I'll pass this information on to your physician to see if the physician feels this might be wise." - "You should take the medication for several months after you go home."
"The medications are helping you. If you suddenly stop taking them, you could get sick again."
Which of the following are negative symptoms associated with schizophrenia? Select all that apply. - Ambivalence - Anhedonia - Delusions - Hallucinations - Avolition
- Ambivalence - Anhedonia - Avolition
